    <div id="frmindex_frmindex_feedback">
    <table border="0" width="426" id="frmindex_table1" cellpadding="0" style="text-align: left; margin:auto; ">       
        <tr>        
            <td width="83">&nbsp;</td>
            <td colspan="2" width="337" align="center"><span style="font-familyArial; font-size:16px; color#1b5d2c"><b>Thông tin liên hệ / Góp ý</b></span></td>
        </tr>
        <tr>
            <td width="83" align="right"><b>Tên bạn</b></td>
            <td width="311">
                <input type="text" name="frmindex_txtName" id="frmindex_txtName" size="59" style="width: 99%"></td>
            <td width="24"><font color="#FF0000">*</font></td>
        </tr>
        <tr>
            <td width="83" align="right"><b>Địa chỉ email</b></td>
            <td width="311">
            <input type="text" name="frmindex_txtMail" id="frmindex_txtMail" size="59" style="width: 99%"></td>
            <td width="24"><font color="#FF0000">*</font></td>
        </tr>
        <tr>
            <td width="83" align="right"><b>Tiêu đề</b></td>
            <td width="311">
            <input name="frmindex_txtSubj" id="frmindex_txtSubj"  size="59" style="width: 99%;" value="[var.title]"></td>
            <td width="24"><font color="#FF0000">*</font></td>
        </tr>
        <tr>
            <td width="83" valign="top" align="right"><b>Nội dung</b></td>
            <td width="311" style="height: 236px;" align="right">
            <textarea name="frmindex_txtMesg" id="frmindex_txtMesg" cols="37" style="width: 99%; height 230px;"></textarea></td>
            <td width="24"><font color="#FF0000">*</font></td>
        </tr>
        <tr>
            <td width="83">&nbsp;</td>
            <td width="337" colspan="2" align="center">
            <button class='login_button1'  type='button' onclick='canSubmit();' name='btnDoFeedBack' id='btnDoFeedBack' accesskey='G'><font color='red'><b>G</b></font>ửi</button>
                    <button class='login_button1' type='reset' onclick='document.frmContact.reset();' accesskey='N'> <font color='red'><b>N</b></font>hập lại</button>            
            </td>
        </tr>
    </table>
    </div>